| NPI | 1104380484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps58722) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64018) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-31 |